Would tear trough filler be suitable? (Photo)

Question

Hi, I had tear trough filler in 2020 and twice for maintenance in 2021. I was vhappy with the results. Due to stress I’m looking a lot more tired now. The provider advised not to put anymore in as there is no tear trough, just dark circles and advised me to use concealer. It looks a little hollow to me. Should I seek a second opinion?

Lexie Wang, MD · Answer

Please leave it alone. The tear trough is a very unforgiving area. If someone is telling you no, believe them. There are too many problems with tear trough filler and overdoing it. It is ALWAYS better to undertreat than to overtreat. Yes, you may have a micro area of some additional hollowing, but I would not recommend filling compared to the risks of filling for something so subtle. The provider is correct that some of what you are seeing now is the fat of your eyelid coming forward, and this is not something that can be treated with filler.

Nelson Lee Novick, MD · Answer

The photo provided does not show enough of the cheeks to be able to address this issue. But, since the upper cheeks are a major support for the infraorbital area, very often the under-eyes can be improved by the skillful, experienced use of a robust HA volumizing filler just for the upper cheeks. Note; this is not for cheek augmentation; it is solely to improve the under-eyes. I did this for my last patient of the day this past Wednesday with very gratifying results. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Camille Cash, MD · Answer

I recommend visiting an expert injector near you for an evaluation.  If filler isn't indicated you may have improvement from treatments such as Morpheus8 combined with a customized skin care regimen.  Medical grade skin care like Transform MD is recommended along with wearing sunscreen every day.

Would tear trough filler be suitable? (Photo)

Answers (3)

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